Individual
LENIS RENEE OBRYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5120 VILLAGE SQUARE DR STE 103, PADUCAH, KY 42001-9560
(502) 931-2467
(270) 442-9599
Mailing address
5120 VILLAGE SQUARE DR STE 103, PADUCAH, KY 42001-9560
(502) 931-2467
(270) 442-9599
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002090
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000358143
ANTHEM
—
05
—
200512350
—
IN
Enumeration date
11/03/2006
Last updated
04/05/2026
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